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© Website Appoquinimink  Counseling Services, LLC 2016. Website by JBH Design & Film

forms and insurance

This section includes paperwork for new clients who have a confirmed initial appointment in our office.

Once you have a scheduled appointment, please print this forms packet, read thoroughly, complete and      

bring with you to your initial appointment, along with your insurance card if applicable.  Arriving without completed paperwork will require completion in the office, resulting in significantly less time for your appointment.

 

If you have questions, please contact Dawn at (302) 898-1616.

Click below to download:

Insurance 

Our practice participates with Blue Cross Blue Shield plans as well as the Highmark Health Options (DE) Medicaid plan. Clients with other health insurance plans are encouraged to review their out-of-network benefits for reimbursement rates specific to their plan.  We will gladly provide statements for  clients to submit for out-of-network reimbursement.

Emotional

Wellness